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General NPI Number Information
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NPI Number | 1043072234
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Entity Type | Organization
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Legal Business Name | AURA HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 6499 UNIVERSITY AVE NE
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City | FRIDLEY
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State | MN
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Zip | 55432-4303
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Country | US
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Telephone | 612-486-2134
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Fax |
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Provider Business Mailing Address
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Address Line | 6499 UNIVERSITY AVE NE
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City | FRIDLEY
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State | MN
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Zip | 55432-4303
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Country | US
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Telephone | 612-486-2134
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAMS MOHAMED ALI
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Credential |
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Telephone | 612-486-2134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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